Geographic Availability of Integrated Care Models for Dually Eligible Beneficiaries

Integrated care models are designed to align the delivery, payment, and administration of Medicare and Medicaid services with the goals of improving care for dually eligible beneficiaries and reducing spending that arises from duplication of services or poor care coordination. Discussions of integrated care models often focus on variation in adoption across states, which can overlook geographic variation in the availability of these models within states. To better understand the landscape of integrated care across the country, this presentation displays dually eligible beneficiary enrollment and the availability of Financial Alignment Initiative demonstrations, managed long-term services and supports, and dual-eligible special needs plans at the county level. The analysis shows that even in states that have implemented integrated care programs, they may not be available statewide.